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<br />'1 <br />. <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />and compliance or noncompliance with any formalities connected with the Contract or the changes do not <br />affect the Surety's obligation under this Bond. <br /> <br />Signed and sealed this <br /> <br />day of <br /> <br />,20 <br /> <br />WITNESS: <br /> <br />BY: <br /> <br />(Name of Corporation) <br /> <br />Secretary <br /> <br />(Signature) <br /> <br />(CORPORATE SEAL) <br /> <br />(Type Name and Title Signed Above) <br /> <br />IN THE PRESENCE OF; INSURANCE COMPANY: <br /> <br />BY: <br /> <br />*Agent and Attorney-in-Fact <br /> <br />* (Power of Attorney must be attached) <br /> <br />(Address) <br /> <br />(City /State/Zip Code) <br /> <br />(Telephone) <br /> <br />STATE OF FLORIDA ) <br />) <br />COUNTY OF ) <br /> <br />, <br />[name of person], as <br /> <br />AFFIX NOTARY STAMP HERE: <br /> <br />Signature: Notary Public - State of Florida <br /> <br />Print or Type Commissioned Name <br /> <br />Personally Known OR Produced Identification <br />Type of Identification Produced <br /> <br />n <br />I I <br />.. <br /> <br />,.., <br />I <br /> <br />i <br /> <br />PAGE 68 OF 78 <br />